191804850-11-9-2023-58-CC-KCHE-CXEUXY-20231109145907

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191804850
Report Date: 11/09/2023
Date Signed: 11/09/2023 02:59:18 PM

Document Has Been Signed on 11/09/2023 02:59 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	FOUNTAIN NURSERY SCHOOL, INC.		FACILITY NUMBER:	191804850
ADMINISTRATOR:	MARY NOUSKAJIAN		FACILITY TYPE:	850
ADDRESS:	1128 N. ORANGE GROVE AVE.		TELEPHONE:	(323) 654-8958
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	145	CENSUS: 88	DATE:	11/09/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Tori Hatch, Facility Representative		TIME COMPLETED:	03:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/09/2023 at 11:20 AM an Unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote for the above facility. Licensing staff announced purpose of visit and initially met with Tori Hatch, Facility Representative (FR), who granted entry to facility. Facility is currently licensed for a capacity of 145 per FR there are currently 100 children enrolled. The program currently operates 8:00 AM to 5:00 PM Monday thru Friday. LPA was taken on a guided tour of the facility of both indoors and outdoors. LPA observed required licensing postings on bulletin board upon entrance. At the initial start of the site visit, there is a total census of 88 children and a total census of 20 staff present. The facility is made up of 10 classrooms but due to low enrollment only seven classrooms are used by students and RM-1 is used as Parent & Me Class, RM-10 used as Teacher's Lounge, and RM-9 used as Library. LPA observed RMs 8, 9, and 10 are located upstairs in first building which is entrance to facility. During tour LPA observed: 11 preschoolers with three staff in RM-9 Library, RM-2 to have 13 preschoolers and two staff, RM-3 (observed playing outside) to have15 preschoolers with two staff, RM-4 to have 13 preschoolers with two staff, RM-5 (observed playing outside) to have 12 preschoolers with two staff, RM-6 to have 15 preschoolers with two staff, RM-7 to have 11 preschoolers with two staff, and RM-8 to have 13 preschoolers with three staff. Beginning at 11:32 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed surface of classrooms to be safe and clean, and child size tables and chairs available for children well maintained in each classroom. LPA observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library area available for quiet play in each classroom. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings in RMs 1-7 and hanging hooks in outside hallway for children's backpacks for RMs 8-10. LPA observed cots stored for each classroom in bathroom Report Continues - Page 1 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FOUNTAIN NURSERY SCHOOL, INC.	FACILITY NUMBER: 191804850
	VISIT DATE: 11/09/2023

NARRATIVE

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that is covered. Per FR, fitted sheets are placed on each cot daily, with blankets/linens provided by families and washed by facility weekly. Availability of drinking water was reviewed. LPA observed children's personal water bottles available for children in each classroom. Per FR, they have a large water filter to refill children's water bottles through the day. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathrooms are available in each classroom ranging from 1-2 toilets and two sinks each.

Snack/lunch menus were reviewed and observed posted at time of inspection in lobby and in each classroom. Per FR, they do not prepare food on site but get food delivered. LPA observed food be delivered and distributed to classrooms during inspection. Trash cans used to discard food have tight fitting lids.

A first aid kit is kept in each classroom, outside, and a larger one in lobby, which LPA inventoried for necessary supplies. LPA tested carbon monoxide detectors and observed to be operable at time of inspection. LPA observed smoke detectors and fire extinguishers to be present in the facility. Per FR, drills are conducted by each classroom though a large school drill is scheduled for later this month. LPA observed disaster drill log available in classroom, last drill conducted on 10/05/2023. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. LPA observed these items stored on high shelves and cabinets in bathrooms. FR states that there are no poisons used for vermin or bugs stored at the facility. LPA observed medicine that is stored in high shelf in lobby for C1, C2, and C3. LPA discussed requirements for storage and documentation of medications with FR at time of inspection. LPA observed isolation area for sick children is in lobby, where LPA observed a small bed available.

Beginning at 11:45 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed four different play areas available for children that are each separated by fencing and designated by age groups. LPA observed each play area to have surface that is maintained for designated activities which includes a variety of ride along toys. LPA observed multi-level play structures in outdoor play area all with cushioning material below to absorb fall that has been well maintained. LPA observed benches under shaded area with a variety of manipulatives and building materials free of loose and sharp parts. LPA observed a garden area available for children free of hazards. LPA observed trees and shrubs are maintained at time of inspection. Required shade and fencing were inspected. LPA advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at
Report Continues - Page 2 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FOUNTAIN NURSERY SCHOOL, INC.	FACILITY NUMBER: 191804850
	VISIT DATE: 11/09/2023

NARRATIVE

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all times. LPA observed the children have access to their water bottles during outside play. LPA observed a pool in outdoor play area that is part of preschool program. Facility offers swim classes as part of program with three Swim Instructors on site at all times. Swim schedule for 2023-2024 was provided to LPA during inspection. LPA observed pool to have perimeter fencing with additional plexi-glass sliding house that covers perimeter of pool completely. LPA observed a combination lock on initial perimeter gate that opens outward and a combination lock on opening of plexi-glass sliding house. Upon inspection of outdoor play area, LPA observed staff transitoning out of swim class and LPA observed lock on gate and plexi-glass sliding house to be closed with a lock when not in use.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPA.

Beginning at 1:45 PM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857. The review of Staff records was documented on the LIC 859. 5 of 5 staff files did have proof of the AB 1207 Mandated Reporter Training certificate on file. LPA observed Pediatric First Aid/CPR expires on 10/2024 for 5 of 5 staff files reviewed. All staff present had their criminal record clearance at time of inspection.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Report Continues - Page 3 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

LIC809 (FAS) - (06/04)

Page: 3 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FOUNTAIN NURSERY SCHOOL, INC.	FACILITY NUMBER: 191804850
	VISIT DATE: 11/09/2023

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility Representative was reminded that all adults 18 and over in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 11/09/2023 only advisories given.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representatives, Tori Hatch and Evelyn Johnson Jr.

Report Ends - Page 4 of 4

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

LIC809 (FAS) - (06/04)

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